Nova Teledentistry

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

NOVA TELEDENTISTRY

Practice address

8111 Aztec Way
Antelope, CA 95843-4411

Phone

(916) 540-0737

NPI assigned

Jun 13, 2022

Last updated

Jun 13, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Roxanne Roccanova

Title

Founder

Phone

(916) 540-0737

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1255061354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7451 AUBURN BLVD STE C",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956102992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 AZTEC WAY",
            "city": "ANTELOPE",
            "state": "CA",
            "postal_code": "958434411",
            "telephone_number": "916-540-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA TELEDENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "ROCCANOVA",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "916-540-0737"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DL",
            "identifier": "D5352890",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "emailaddress",
            "affiliation": "N",
            "endpointDescription": "Roxannetele@proton.me",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8111 Aztec Way",
            "city": "Antelope",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958434411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Jonathan Anthony Nguyen, PHARMD
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• Public Health Dentistry in Antelope, CA
• Providers in Antelope, CA by specialty
• Public Health Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.